Effective May 17, 2008, Availity
is requiring that all connected payers process any X12 HIPAA standard
electronic transactions according to one of the following options.
The options of NPI readiness are as follows:
NPI Readiness
Availity is making every effort to confirm and communicate the status
of our connected payers. For our most up-to-date list, please review
the NPI Readiness of these payers.
Legacy ID Required.
NPI allowed
Legacy identifier required
Dual ID Allows all of the following scenarios: 1. NPI only 2. Legacy identifier only 3. NPI and Legacy identifiers
NPI per Mandate.
NPI required per mandate under HIPAA regulations
Legacy identifier not allowed
NPI per Mandate. Legacy ID also allowed.
NPI required per mandate under HIPAA regulations
Legacy identifier also allowed
Available for EDI and B2B only
As noted above, all payers either accept or mandate use of the NPI.
Availity is making every effort to confirm and communicate the status
of our connected payers. For our most up-to-date list, please review
the NPI Readiness of these payers.
Availity’s NPI Validation Rules
In order to support each payer’s readiness for NPI, Availity must
validate transactions according to Option specific rules. Options 3 and
4 are new and currently active. Please select one of the new options
for validation details.
